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腹腔镜胆囊切除术与开腹胆囊切除术的临床特征及住院费用的对比 被引量:5

A comparasion of clinical and financial aspects of laparoscopic versus open cholecystectomy
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摘要 目的 对腹腔镜胆囊切除术(LC)的安全性、临床及经济价值作出评估。方法 对行LC的278例患者与开腹胆囊切除术(OC)的234例患者进行对比调查。结果 LC与OC具有相同的安全性;LC患者术后总的疼痛时间与严重疼痛时间,住院及出院后恢复工作的时间均明显短于OC患者(P<0.01);且LC术后并发症显著低于OC(P<0.01),其住院费用总支出,也明显低于后者(P<0.01)。结论 LC与OC同样安全,且在许多临床特征及医疗费用方面,前者明显优于后者。 Objective To evaluate the safety,clinical and financial aspects of laparoscopic cholecystectomy(LC).Methods 278 cases undergone LC and 234 cases undergone open cholecystectomy(OC)were compared in retrospective study.Results LC was as safe as OC.In favour of LC,significant differences were observed regarding the time of severe pain,hospitalization and recovery.The total occurences of postoperative complications were low in all the patients undergone LC or OC,and its significantly lower in patients undergone LC than that in those undergone OC.Furthermore,the total charges for LC were significantly lower than that for OC.Conclusions LC is as safe as OC and has clan obvious advantage over OC in clinical,social and financial aspects.
出处 《临床外科杂志》 1999年第5期259-261,共3页 Journal of Clinical Surgery
关键词 腹腔镜胆囊切除术 开腹胆囊切除术 临床特征 费用 Laparoscopic cholecystectomy Open cholecystectomy Clinical character Cost
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